Provider Demographics
NPI:1134481849
Name:BELOKIN, STEPHANIE W (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:W
Last Name:BELOKIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7890 N CORTARO RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8326
Mailing Address - Country:US
Mailing Address - Phone:520-202-7770
Mailing Address - Fax:
Practice Address - Street 1:7890 N CORTARO RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-8326
Practice Address - Country:US
Practice Address - Phone:520-202-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-10
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1131207Q00000X
AZ007963207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine